Organization
IYAD K. RADWAN, MD., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IYAD K RADWAN MD (PHYSICIAN)
(832) 645-4038
Entity
Organization
Contact information
Practice address
411 PARK GROVE, SUITE #620, KATY, TX 77450-1576
(832) 645-4038
(832) 675-9861
Mailing address
PO BOX 42453, HOUSTON, TX 77242-2453
(832) 645-4038
(832) 675-9861
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
N9481
TX
208D00000X
General Practice Physician
N9481
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
N9481
TX
Other
Enumeration date
02/02/2012
Last updated
05/05/2016
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